

There is no single way to experience perimenopause or menopause. Your symptoms, health history, preferences, and priorities deserve a plan of their own.
Dr. Nourmand takes time to understand what has changed and how those changes affect your daily life. That might mean disrupted sleep, hot flashes, vaginal dryness, discomfort with intimacy, mood concerns, or simply feeling unlike yourself.


Dr. Nourmand reviews your symptoms, menstrual history, medical background, and goals while considering other conditions that could contribute. Treatment decisions reflect what matters to you, whether that is sleeping more comfortably, improving intimacy, managing symptoms at work, or understanding your options.
Depending on your needs, care may include menopausal hormone therapy, local vaginal treatments, nonhormonal medications, and nutrition or lifestyle guidance. We discuss the benefits and risks of each relevant option and make decisions together.
Follow-up allows us to assess how you feel, adjust treatment, and revisit your priorities. Bone health, cardiovascular risk, and preventive screening remain part of the broader picture.
You do not need to wait until your periods have stopped, or until symptoms feel overwhelming - to begin the conversation.
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